For the past seven months it's been kinda fun to say "He's got a finger bone in his belly". The looks.... ohhhh the looks, even from medical staff! And the response of "You have a what, in your where?". I'm gonna miss that!
For those who may not have missed out on some of the previous posts such as
this one, let me explain. Hubby had a severely damaged pinkie finger after the blast. When I say severely, I mean the Dr's said it would never function as a finger, and I've seen the x-rays, and I'm guessing it wouldn't have looked like much of a finger either. In addition the the damaged pinkie, he had shrapnel blow threw his hand and took out a good chunk of the metacarpal for the ring and middle fingers, including the MC joints (the knuckle).
So....what they did was amputate the pinkie finger and then they removed the MC joint & metacarpal from the pinkie finger and stored it safely in his belly for later use. They hope was that they would be able to us that bone to do a bone graft and transplant the MC joint to the ring finger.
In Friday's surgery they were able to use the bone to do the grafts for his ring and middle finger. Initially we thought the transplant surgery would take place just weeks after they banked the bone (stored it in his belly) but wounds would not heal, and then he needed a carpal tunnel release done back in November which delayed the process. So that MC joint was a little stiff. 15 degrees of range of motion. But hey 15 degrees is 15 degrees and it's better than having the joint fused. The MC joint for the middle finger did have to be fused because of the amount of damage. But that was what we were expecting.
Friday they also took off the external fixator on his leg, and did a bone graft to the hole in his Tibia. We were very worried that he had a bone infection based on history and they way things were looking. But 8 days post op and all signs are pointing the infection being limited to soft tissue! YAY!!!!! The plan was for 6 weeks of IV antibiotics. But if all goes well, he should be off of them in a week or two.
He is now in a boot or a walking cast. And has been given the ok to start weight baring. Keeping him from going full steam ahead is a bit of a challenge. But hopefully pain will slow him down a little. Yeah, yeah, yeah that's terrible.. but the brain injury makes in impossible to reason with him. So for now, if it takes a little pain to keep him from undoing what they've done.. I'll take it. The sooner these graft "takes", the sooner we can get the second surgery done to start the lengthening procedure.
Aside from having trouble getting pain under control in the first 24 hours, which was quickly resolved with a dosage change on his epidural and a nerve block to his arm. Post-op when way better than I expected. Hubby on pain meds was sort of enjoyable, it doesn't knock him out and he doesn't talk crazy or anything. He is just mellow and agreeable, doesn't argue or question every little thing the staff does or says. And he was great with the kids. Now we are sorta back to the hubby I was expecting to see! But it was a nice change.
Few more days of this ward and then we will be moving up (literally) and before we know it hubby's forehead will be back in place. This will open up so many more doors for rehab and therapies. This feels like such a huge milestone, and we are almost there!